The development of proliferative verrucous leukoplakia in oral lichen planus. A preliminary study
Identifieur interne : 000463 ( Main/Exploration ); précédent : 000462; suivant : 000464The development of proliferative verrucous leukoplakia in oral lichen planus. A preliminary study
Auteurs : María-José Garcia-Pola ; Santiago Llorente-Pendás ; Manuel González-Garcia ; José-Manuel García-MartínSource :
- Medicina Oral, Patología Oral y Cirugía Bucal [ 1698-4447 ] ; 2016.
Abstract
Was to describe 14 cases of a proliferative verrucous leukoplakia as a clinical evolution of oral lichen planus.
The clinical and histopathological characteristics of 14 cases of OLP that progress towards a plaque-like and verrucous form were indicated, with monitoring over a period of six to 24.3 years.
The female/male ratio was 11/3, (78.6 and 21.4%). The mean age when the first biopsy was undertaken was 56.4 years old. None of the patients smoked during the study. As bilateral reticular was clinically diagnostic criterion, the second most frequent clinical form was the plaque form (n=10; 71.4%), followed by the atrophic (n=6; 42.8%), and erosive forms (n=4; 28.5%). Clinically it spread towards attached gingival mucosa and the hard palate. In the histopathologic study, there were a predominance of hyperkeratosis and verrucous epithelial hyperplasia. Three of the cases progressed to a squamous cell carcinoma, and one patient developed two verrucous carcinoma.
Further research is needed to demonstrate if proliferative multifocal oral lichen planus and proliferative multifocal oral leukoplakia are the same disorder but have different behaviour of malignancy for reasons of origin.
Url:
DOI: 10.4317/medoral.20832
PubMed: 27031060
PubMed Central: 4867206
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The development of proliferative verrucous leukoplakia
in oral lichen planus. A preliminary study</title><author><name sortKey="Garcia Pola, Maria Jose" sort="Garcia Pola, Maria Jose" uniqKey="Garcia Pola M" first="María-José" last="Garcia-Pola">María-José Garcia-Pola</name><affiliation><nlm:aff id="A1">Associate Professor of Oral Medicine. Faculty of Medicine. Catedrático José Serrano. 33006. Oviedo University. Spain</nlm:aff></affiliation></author><author><name sortKey="Llorente Pendas, Santiago" sort="Llorente Pendas, Santiago" uniqKey="Llorente Pendas S" first="Santiago" last="Llorente-Pendás">Santiago Llorente-Pendás</name><affiliation><nlm:aff id="A2">Medical Doctor. Oral and Maxillofacial Surgeon. Private practice of Oral and Maxillofacial Surgery. Medical Director of Head and Neck Center. Pérez de la Sala 37.33007. Oviedo. Spain</nlm:aff></affiliation></author><author><name sortKey="Gonzalez Garcia, Manuel" sort="Gonzalez Garcia, Manuel" uniqKey="Gonzalez Garcia M" first="Manuel" last="González-Garcia">Manuel González-Garcia</name><affiliation><nlm:aff id="A3">Assistant Professor of Oral and Maxillofacial Surgery. Faculty of Medicine. Catedrático José Serrano. 33006. Oviedo University. Spain</nlm:aff></affiliation></author><author><name sortKey="Garcia Martin, Jose Manuel" sort="Garcia Martin, Jose Manuel" uniqKey="Garcia Martin J" first="José-Manuel" last="García-Martín">José-Manuel García-Martín</name><affiliation><nlm:aff id="A4">Assistant Professor of Oral Health & Preventive Dentistry. Faculty of Medicine. Catedrático José Serrano. 33006. Oviedo University. Spain</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27031060</idno><idno type="pmc">4867206</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4867206</idno><idno type="RBID">PMC:4867206</idno><idno type="doi">10.4317/medoral.20832</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000736</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000736</idno><idno type="wicri:Area/Pmc/Curation">000736</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000736</idno><idno type="wicri:Area/Pmc/Checkpoint">000410</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000410</idno><idno type="wicri:Area/Ncbi/Merge">006575</idno><idno type="wicri:Area/Ncbi/Curation">006575</idno><idno type="wicri:Area/Ncbi/Checkpoint">006575</idno><idno type="wicri:doubleKey">1698-4447:2016:Garcia Pola M:the:development:of</idno><idno type="wicri:Area/Main/Merge">000463</idno><idno type="wicri:Area/Main/Curation">000463</idno><idno type="wicri:Area/Main/Exploration">000463</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The development of proliferative verrucous leukoplakia
in oral lichen planus. A preliminary study</title><author><name sortKey="Garcia Pola, Maria Jose" sort="Garcia Pola, Maria Jose" uniqKey="Garcia Pola M" first="María-José" last="Garcia-Pola">María-José Garcia-Pola</name><affiliation><nlm:aff id="A1">Associate Professor of Oral Medicine. Faculty of Medicine. Catedrático José Serrano. 33006. Oviedo University. Spain</nlm:aff></affiliation></author><author><name sortKey="Llorente Pendas, Santiago" sort="Llorente Pendas, Santiago" uniqKey="Llorente Pendas S" first="Santiago" last="Llorente-Pendás">Santiago Llorente-Pendás</name><affiliation><nlm:aff id="A2">Medical Doctor. Oral and Maxillofacial Surgeon. Private practice of Oral and Maxillofacial Surgery. Medical Director of Head and Neck Center. Pérez de la Sala 37.33007. Oviedo. Spain</nlm:aff></affiliation></author><author><name sortKey="Gonzalez Garcia, Manuel" sort="Gonzalez Garcia, Manuel" uniqKey="Gonzalez Garcia M" first="Manuel" last="González-Garcia">Manuel González-Garcia</name><affiliation><nlm:aff id="A3">Assistant Professor of Oral and Maxillofacial Surgery. Faculty of Medicine. Catedrático José Serrano. 33006. Oviedo University. Spain</nlm:aff></affiliation></author><author><name sortKey="Garcia Martin, Jose Manuel" sort="Garcia Martin, Jose Manuel" uniqKey="Garcia Martin J" first="José-Manuel" last="García-Martín">José-Manuel García-Martín</name><affiliation><nlm:aff id="A4">Assistant Professor of Oral Health & Preventive Dentistry. Faculty of Medicine. Catedrático José Serrano. 33006. Oviedo University. Spain</nlm:aff></affiliation></author></analytic><series><title level="j">Medicina Oral, Patología Oral y Cirugía Bucal</title><idno type="ISSN">1698-4447</idno><idno type="eISSN">1698-6946</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Was to describe 14 cases of a proliferative verrucous leukoplakia as a clinical evolution of oral lichen planus.</p></sec><sec><title>Material and Methods</title><p>The clinical and histopathological characteristics of 14 cases of OLP that progress towards a plaque-like and verrucous form were indicated, with monitoring over a period of six to 24.3 years.</p></sec><sec><title>Results</title><p>The female/male ratio was 11/3, (78.6 and 21.4%). The mean age when the first biopsy was undertaken was 56.4 years old. None of the patients smoked during the study. As bilateral reticular was clinically diagnostic criterion, the second most frequent clinical form was the plaque form (n=10; 71.4%), followed by the atrophic (n=6; 42.8%), and erosive forms (n=4; 28.5%). Clinically it spread towards attached gingival mucosa and the hard palate. In the histopathologic study, there were a predominance of hyperkeratosis and verrucous epithelial hyperplasia. Three of the cases progressed to a squamous cell carcinoma, and one patient developed two verrucous carcinoma.</p></sec><sec><title>Conclusions</title><p>Further research is needed to demonstrate if proliferative multifocal oral lichen planus and proliferative multifocal oral leukoplakia are the same disorder but have different behaviour of malignancy for reasons of origin.</p><p><bold>Key words:</bold>Oral lichen planus, proliferative verrucous oral leukoplakia, malignant oral lichen planus, multifocal verrucous oral lichen planus, proliferative verrucous oral lichen planus.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Van Der Meij, Eh" uniqKey="Van Der Meij E">EH van der Meij</name></author><author><name sortKey="Van Der Waal, I" uniqKey="Van Der Waal I">I van der Waal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Axell, T" uniqKey="Axell T">T Axéll</name></author><author><name 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Zt" uniqKey="Zhou Z">ZT Zhou</name></author><author><name sortKey="Wang, Lz" uniqKey="Wang L">LZ Wang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aguirre Urizar, Jm" uniqKey="Aguirre Urizar J">JM Aguirre-Urizar</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Garcia Martin, Jose Manuel" sort="Garcia Martin, Jose Manuel" uniqKey="Garcia Martin J" first="José-Manuel" last="García-Martín">José-Manuel García-Martín</name><name sortKey="Garcia Pola, Maria Jose" sort="Garcia Pola, Maria Jose" uniqKey="Garcia Pola M" first="María-José" last="Garcia-Pola">María-José Garcia-Pola</name><name sortKey="Gonzalez Garcia, Manuel" sort="Gonzalez Garcia, Manuel" uniqKey="Gonzalez Garcia M" first="Manuel" last="González-Garcia">Manuel González-Garcia</name><name sortKey="Llorente Pendas, Santiago" sort="Llorente Pendas, Santiago" uniqKey="Llorente Pendas S" first="Santiago" 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